a charge nurse is making client care assignments a charge nurse is making client care assignments

Prior to turning feeding back on, tube placement needs to be verified. Who should the nurse see first? Which of the following actions should the nurse include in the plan? Assist a client to ambulate using a gait belt. 2. Incorrect: The client does need to have food; however, there is another action that should be performed first. Incorrect: The scope of practice for the UAP encompasses basic personal care needs, ambulating, and taking vitals; however, the nurse must still verify that all tasks are accomplished in a safe manner. 1. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. (Select all that apply.) 1. Which of the following instructions should the nurse include? Review the action of insulin therapy 2. a. I will wear gloves when removing food from the freezer a. Wrapping the dentures in tissue while the client sleeps Which clients would be appropriate assignments for the LPN/LVN? 1. a. When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. c. Include intact skin at the wound edges in the culture Personal liability coverage is not mandatory, but you should consider purchasing your own coverage PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Gather and apply dressings to open wounds. 3. The nurse is using which of the following therapeutic communication techniques? 1. c. Helping the client into the shower Reach around the pack and open the top flap away from the body 4. Feed a client that had a stroke 3 months ago. A nurse in a clinic is teaching a group of clients about preventing low back pain and injury. d. Use soap and water to wash the catheter after each use, c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage), 34. Encourage client to express grief related to loss of independence. A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. A nurse is preparing a sterile field. a. The client asks the nurse, "Why do I need that? c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day Keep a personal copy of this documentation, provide a copy to the immediate supervisor, and send a copy to the Local Unit Officer. A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Each state BON differs in that also some have treatment programs they administer themselves. 3. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" Which of the following statements should the nurse identify as an indication that the client needs further teaching? Monitor for behavioral changes. 4. Which of the following physiological responses to prolonged immobility should the nurse expect? Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. However, it is on the "Do Not Use" list of abbreviations because it can be confused with morphine sulfate (MSO4). The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration and reports a pain level of 6 on a scale of 0 to 10. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Explore the client's feelings A nurse is caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night." The client states, "I am so nervous about what the doctor might find during the test." 1. Delegate 2 nurses to work with the client. 3. a. Hypotension The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. A nurse is teaching a client who has a history of falls about home safety. the nurse responds: "It must be very frustrating to encounter this kind of attitude." b. I will keep the fluorescent ceiling light on in my room at night A nurse is having difficulty caring for a client due to variables affecting the communication process. A nurse is caring for a client who has a wound infection. A nurse is administering a cold therapy application to a client. 4. a. 2. Administering 3 g/hr IV of morphine would be extremely dangerous. The RN with 10 years' experience pulled from the ER. The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. - Assisting a client to ambulate using a gait belt. A nurse has completed an informed consent form with a client. d. Ambulating the client in the hallway, c. Explore the client's feelings about dietary modifications (this teaching intervention allows the client to express his acceptance of this change and focuses on affective learning), 80. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. e. Throw rugs, 40. c. Blood-tinged urine b. Which client should the nurse assess first? assignmentcafe.com - A charge nurse is making assignments for nursing 3. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. This schedule may leave some clients too exhausted to visit with family. Which of the following types of communication breakdown does this response represent? Serve milk products separately from meals Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. 5. The surgeon initially prescribes a clear liquid diet. Encourage the client to be more cooperative. Place the pack on a sterile work surface b. Have another nurse finish preparing the medications d. Custard Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture? Which of the following actions is the nurse's priority? 1. But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. Select all that apply Incorrect: The RN is responsible for collecting data. 1., 2., 4., & 5. d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. Nursing questions and answers. This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. A nurse is caring for a client who is about to have a colonoscopy. 5. Ask for any staff objections to rearranging work hours. A nurse is caring for a client who expresses anxiety about his impending surgery. a. I'll sit with my knees lower than my hips b. Make nursing assignments appropriate to the skill level . 5. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? Removing the abdominal dressing This client is stable and predictable. a charge nurse is making client care assignments for the day. Disconnect client's nasogastric (NG) tube suction to allow ambulation. Two hours after other trays were picked up from the rooms, the nurse notes that the client's untouched tray is still at the bedside. 3. Correct: An LPN should be assigned clients with predictable outcomes. Review a low-sodium diet for a client with hypertension. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." This is likely cholelithiasis, which will need to be checked out. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". 2) Assist a client to ambulate using a gait belt. One important aspect is encouraging the flow of ideas between management and staff members. The best practice committee utilizes current research in their recommendations. *HURST REVIEW Qbank/Customize Quiz - Manageme, *HURST REVIEW Qbank/Customize Quiz - Adult He, *HURST REVIEW Qbank/Customize Quiz - Basic Ca, *HURST REVIEW Qbank/Customize Quiz - Fundamen, ***HURST REVIEW NCLEX-RN Readiness Exam 1***, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. b. The spouse can rescind the Advance Directive if the client becomes unresponsive. Refuse the assignment, being prepared for disciplinary action. Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. The provider must renew a restraint prescription every 8 hr. The infusion rate has stopped but the tubing is not kinked 5. This is the most stable of the four clients which places this client last to be seen. It is crucial that the oncoming staff have an opportunity to voice any concerns regarding assignments and clarify any information provided.This proper exchange of information and concerns helps to ensure the safety of clients, provides continuity of care, and possibly prevents problems that might arise if these concerns had not been addressed. CORRECT: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. In which situation should the nurse consult the client's advanced directive? 1. A nurse is preparing an education presentation about organ donation for a group of newly licensed nurses. Receive report from the emergency department (ED) on a new client. Solved 77. The nurse in a long-term care facility is making - Chegg NUR 212 Patient assignments.docx - M2.4: Making Client Care 5. In order to reorganize staffing, the nurse manager should initiate which action first? Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. 2. a. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. 1. a. Shakes the soiled linen to remove any toilet paper remnants d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. The RN will also need to be in communication with the assisted living facility to ensure that they have are a support system for the patient and her follow up care with her pacer. The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. Handoff and Nursing Report Sheet. The third client that should be sent back for treatment is the female client stating she has been raped. 1. Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? 4. 4. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. 1. d. Counting radial pulse, 100. (c) Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108\mathrm{Ba}^{2+}(a q)+\mathrm{CO}_3^{2-}(a q) \longrightarrow \mathrm{BaCO}_3(s) ; K=3.8 \times 10^8Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108 Perform the Heimlich maneuver Select all that apply e. Feed a client who had a stroke 3 months ago, 32. Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. Additionally, off-duty personnel may be needed and should be alerted to stand by; however, the command center alone makes the determination whether extra personnel should be called in, or if it would put more individuals in jeopardy. c. Take the client to the bathroom every 2 hr Correct: If suspicious behavior occurs, it is important to keep careful, objective records. The client is apparently stable and does not require any advanced assessment skills or specialized care. c. Paraphrasing A charge nurse is making client care assignments. Correct: The medical nurse can be assigned to this client. Feedback d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. Now, in Option #2, we see a dangerous prescription. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. 4. Dentures should be stored in a denture cup. A client requesting assistance packing his belongings for discharge later today., A client with diabetes admitted for debridement of a foot ulcer. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? The command center is the only reliable source of information and will make any decisions needed by hospital personnel. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. b. Assigning tasks to an AP A nurse is caring for a client whose partner asks to speak with the nurse. In the following sentences, circle each incorrectly used lowercase letter. Doing this at the end of the shift could prevent completion of the client assignment sheet for the next shift and possibly create unnecessary overtime for the charge nurse. Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. c. Leave a nightlight on in the client's room Document current functional status assessment Announce the new changes at the monthly staff meeting. Explain to the RN that all the nurses have the same number of clients. 3. Understanding the charge nurse's role in staffing a. Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. 1. c. Holds the soiled linen against her body while carrying it to the linen bag 2. Incorrect: The nurse cannot assign teaching to the UAP. d. Identifying the client by name when making a referral for home health services, 30. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. Which client would be appropriate for the RN to assign to the LPN? Which of the following instructions should the nurse give to the client prior to the procedure? a. A cardiac step down unit has requested float staff because of multiple impending admissions. 5. d. Proceed with the preparation of the patient's surgical procedure, 15. 2. This client is not the nurse's first priority. b. b. Give magnesium citrate 296 mL at 3 PM today. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. Which client can be assigned to the LPN? 3. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. d. Anger, b. c. I'll bear weight on my ankle for 10 minutes every hour Which of the following activities should the nurse perform in this zone? d. Explain the procedure to the client if they do not understand, c. Lock the medication in a room and finish preparing it after returning from the emergency (securing them and returning later to finishing preparing and administering them decreases the risk of medication errors), 72. a. Which of the following findings should the nurse expect? If the volume of the bucket is 4.67L4.67 \mathrm{~L}4.67L, how many grams of gold are there likely to be in 2.381032.38 \times 10^32.38103 cubic feet of soil? The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. Client with a T-5 spinal cord injury beginning rehabilitation therapy. A nurse working on the pediatric oncology unit is beginning the shift and has received report which included some new laboratory data for the clients. Empty the drainage bag at least every 8 hrb.) The situation should be explored before bringing the supervisor in on the situation. Documentation is a communication tool for the interprofessional health care team. a. The nurse who made the medication error should take which of the following actions first? 77. c. Can you tell me why you chose me? Monitor client for pain while assisting with ambulation. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. a. Focusing Therefore, this client would not be a priority over a client who may be experiencing a MI. Which client should be assigned to the most experienced nurse? 3. b. I will call the doctor and get the prescription This is an elderly client who is a new admit. d. Move to the opposite side of the pack and open the fourth flap, 54. a. c. The client's culture d. Swab an area of skin away from the wound to identify the usual flora, a. Elicit info from the client (obtaining info from the client is a component of orientation phase), 57. Simply accept the assignment since overtime is mandatory. a. The nurse could definitely be part of the committee. The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. A nurse is assessing a client who is experiencing prostatic hypertrophy. 3. Bargaining d. Motor impairment, 84. Elevating the head of the bed 30- 40 for the client post thoracotomy Which of the following actions should the nurse take prior to administering the tube feeding? A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. The RN with 8 years' experience in the Intensive Care Unit. The charge nurse might not have realized all the responsibilities of taking this team of clients. d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. Question: A charge nurse is making client care assignments. Select all that apply b. Ask the float nurse, "Have you been drinking?" 7. Include any relevant statements the client made about the ulcer Initiate oxygen and IV lines as needed. 3. This client would not be a priority to be seen before assessing the client with the cast that is too tight who may be developing compartment syndrome. Incorrect: No, the monitoring is too specific for the med-surg nurse. A nurse is discharging a client who has come to the outpatient clinic with an ankle sprain. Which of the following approaches should the nurse use when using confrontation? The nurse does not know the skills of the new UAP. Providing a passive response c. Hallucinations at the onset of sleep, 65. a. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Clients over the age of 65 must have a saline lock according to facility policy A nurse is discussing indications for urinary catheterization with a newly licensed nurse. What is the primary factor for the charge nurse to consider when delegating care? Read all the current literature related to oral care on unresponsive clients. Which of the following responses should the nurse provide? Incorrect: The nurse is responsible for monitoring a client. This referral would be appropriate. Elderly clients have special fluid and electrolyte issues after a fall. Therefore, the nurse with Labor and Delivery experience would be the most appropriate one to assign to care for this client who has postpartum preeclampsia. This client can wait until the others are treated. Discussing a client's surgical procedure with the nurse manager b. Which clients could be assigned to an LPN? c. Changing a dressing, 78. c. I'll clean the inside of the container with a wipe a charge nurse is making client care assignments for the day. which Which of the following is the priority action by the nurse? c. I should purchase a carbon monoxide detector for my home b. & 6. The nurse has another priority. 2. (Select all that apply) Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. Which of the following RNs should not be assigned to this baby? Which of the following responses should the nurse make? Which task should the nurse take responsibility for completing? There are a total of 10 adult clients. Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? 1. An adolescent client post appendectomy reporting pain. 3. Besides yourself, there are the following staff: Your unit has 12 beds. In this situation, it is not a matter of the nurse preferring to take all the vital signs, but the nurse needs to know the competency level of the UAP before delegating this task. which client would be most appropriate to assign a licensed practical nurse (lpn)? Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. c. Use intermittent eye contact Which of the following responses should the nurse make? Furosemide 40 mg PO q.d. Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. As a charge nurse, you're a frontline leaderthe first reflection of your organizationand you need to ensure you are meeting the organization's goals and values. a. Which of the following actions should the nurse take? Which of the following of Erikson's developmental stages should the nurse consider in the planning? e. Talking with the client's partner, 79. To which of the following rooms should the nurse assign the client? A nurse is creating a discharge plan. A nurse removes an indwelling urinary catheter that an older client has had in place for 2 days. A list of current medications is sent to the facility. Which of the following tasks should the nurse delegate to AP? Incorrect: If a report is made to the BON, it should be a factual documentation of specific events and actions, not a statement of impairment. Right forearm Ask the RN why the assignment is too heavy. d. Two nurses using a friction-reducing device, d. Use attentive listening with the client (when establishing presence, eye contact, body language, voice tone, listening, and reflection convey openness and understanding), 39. Charge Nurse II- CNII - jobs.freseniusmedicalcare.com Which of the following statements by the nurse would provide UAP with the best directions about an assignment?